Symposium

Speakers

• Dr. Walter Wodchis
• Dr. Ruth Hall
• Dr. Gaya Embuldeniya
• Dr. Shannon Sibbald
• Dr. Kaileah McKellar
• Jennifer Gutberg
• Sara Shearkhani
• Elana Comisso

OHT Presentations

• Couchiching
• Chatham-Kent
• East York Region North Durham
• North York Toronto Health Partners
• Greater Hamilton Health Network

Details

This year's symposium focussed on evaluating and understanding how Ontario Health Teams are developing, what factors, positive and negative, affect their progress, and how to support the ongoing development of OHTs.

Hart House, University of Toronto
East Common Room
7 Hart House Circle, Toronto ON, M5S3H3

Resources

• Slides: HSPN OHT Developmental Evaluation Symposium
• Slides: OHT Developmental Evaluation Presentations

Speakers

• Dr. Walter Wodchis – HSPRN and University of Toronto - https://youtu.be/FeiaCuVwlrY
• Nancy Naylor – Deputy Minister of Education of Ontario

• Luke Mondor - HSPRN and ICES - https://youtu.be/jVoec4fFJg4
• Dr. Peter Tanuseputro - HSPRN and Bruyère Research Institute
• Dr. Amy Hsu - HSPRN and University of Ottawa

• Dr. José Pereira - University of Ottawa and Bruyère Continuing Care - https://youtu.be/Ji8Da4E0y6U
• Dr. Russell Goldman and Dipti Purbhoo -Toronto Central CCAC and Tammy Latner Centre for Palliative Care

• Dr. Fred Burge - Dalhousie University - https://youtu.be/4AWALMH6d28
• Dr. Denise Marshall - McMaster University

• Dr. Yael Schenker - University of Pittsburgh Medical Center - https://youtu.be/TKufzjVAxPQ

Details

This year's symposium will focus on understanding and improving end-of-life and palliative care in Ontario. Presentations will highlight both gaps in care and promising practices/initiatives. Research from the Health System Performance Research Network (HSPRN), along with evidence and viewpoints from a panel of local, national, and international speakers will offer future direction for palliative and end-of-life care.

St. Andrews Club & Conference Centre
The Conservatory Suite, 16th Floor
150 King St W, Toronto ON M5H 1J9

Resources

· Symposium Agenda

· Slides: The State of End of life and Palliative Care in Ontario. Tanuseputro et al.

· Slides: Developing a Palliative Care System Highlights from the Champlain Region. JPereira.

· Slides: Advancing-Integrated-Palliative. Purbhoo & Goldman.

· Slides: Bridging care for advanced chronic disease into end of life care. FBurge.

· Slides: The real promise palliative care as public health. DMarshall.

· Slides: The Next Era of Palliative Care. YSchenker.

Speakers

• Dr. Gustavo Mery - https://youtu.be/lZUa1uwYiPA
• Dr. Seija Kromm and Luke Mondor - https://youtu.be/JIcoKv_WaZo
• Dr. Jenna M. Evans and Agnes Grudniewicz - https://youtu.be/kQmyrNx1psA
• Dr. G. Ross Baker - https://youtu.be/bkAvClFChTY
• Ross Kirkconnell and Jennifer Mackie - https://youtu.be/bkAvClFChTY
• Jennifer Bowman and Tory Merritt - https://youtu.be/bkAvClFChTY
• David Lamb - https://youtu.be/_If6JjWJygg
• Dr. Walter Wodchis - https://youtu.be/_If6JjWJygg

Details

Health Links offers a paradigm shift in Ontario Health Policy from sector-based funding and regulation to a ‘low-rules’ environment where care is organized around patient needs across sectors. Integrating care however is not something that comes naturally in health care. This day will illuminate the ways that exemplar Health Links are integrating care and how these groups have evolved over time and are developing into the future. Research from the HSPRN will highlight how we should consider measuring the implementation and success of Health Links at the local level and in the health system. This symposium builds on prior symposia on integrated care and caring for people with multimorbidity hosted by the HSPRN.

St. Andrews Club & Conference Centre
The Conservatory Suite, 16th Floor
150 King St W, Toronto ON M5H 1J9

Resources

• Overview of Symposium
• Slides: Value in Health Links Integrating Care in the Ontario Context. Mery & Walter.
• Slides: Assessing Value in Ontario Health Links. GMery.
• Slides: Measuring Success. Mondor and Kromm.
• Slides: Guelph Health Link Building on Strengths. Kirkconnell and Mackie.
• Slides: Setting up for Success. Bowman and Merritt.

Speakers

• Dr. Walter Wodchis, Dr. Anna Kone, Dr. Susan Bronskill & Dr. Kednapa Thavorn - https://youtu.be/qxV0Uds7EJY
• Dr. Kerry Kuluski & Ashlinder Gill - https://youtu.be/dovvQMkIOsk
• Dr. Gustavo Mery - https://youtu.be/x4F4wNjSrmk
• Dr. Cynthia Boyd - https://youtu.be/46HIoeEJQ_4
• Dr. Martin Fortin - https://youtu.be/-0wfbdb2dKc
• Dr. Moira Stewart - https://youtu.be/MwetFatfi7I
• Dr. Mike Wilson - https://youtu.be/QZox1A_cvGo

Details

The goal for the symposium is to provide Ontario decision-makers, care providers and patients with knowledge about the challenge and opportunity associated with better addressing the needs of people with multiple chronic conditions or multimorbidity and a prescription for some important next steps to implement improvement.

Resources

• Overview of Symposium
• White Paper
• Slides: Current Multimorbidity Research from the Health System Performance Research Network. Kone et al.
• Slides: AGAIN: Aligning Goals Addressing Individual Needs . Kuluski and Gill.
• Slides: Caring for People with Multiple Chronic Conditions: A Necessary Intervention in Ontario. Mery.
• Slides: Evidence-Based Care for People with Multimorbidity. Boyd.
• Slides: Better Care for People with Multiple Chronic Conditions. Fortin.
• Slides: Patient Centred Care for Patients with Multimorbidity. Stewart.
• Slides: Stakeholder Dialogue Results (Designing Integrated Approaches to Support People with Multimorbidity in Ontario, McMaster Health Forum). Wilson.

Speakers

• Dr. Samir Sinha
• Dr. Henk Nies
• Mimi Lowi-Youn
• David Munch
• Valmay Barkey and Catherine Danbrook
• Leslie McDiarmid

Details

Co-hosted by the Health System Performance Research Network (HSPRN)and the Canadian Research Network for Care in the Community (CRNCC).

This half-day symposium examines ongoing challenges and opportunities for integrating community-based supports and primary health care for older persons and caregivers. It asks the question: if integrating care is so promising, why is it so tough to achieve, and how can lessons learned locally and internationally be leveraged to move forward in Ontario?

Background

There is growing international evidence that integrating care for older persons with ongoing, complex health and social needs is where you want to go: not only does greater integration promise better outcomes for older persons and their caregivers, it can make health care systems more cost-effective and sustainable. Yet, integrating initiatives in Ontario and elsewhere have been challenging to start, sustain, scale up and spread.

Resources

• Agenda
• Slides: How Could a Seniors Strategy enable the integration of Care for Older Ontarians. Sinha. 2012.
• Slides: Integrating Care of Older Persons Innovations from the EU. Nies. 2012
• Slides: A Focus on Seniors. Lowi-Young et al. 2012.
• Slides: Aging in Place A Continuum of Care. Munch. 2012.
• Slides: Stay the Course and Keep the Vision. Barkey and Danbrook. 2012.
• Slides: Integrating Care for Older. McDiarmid. 2012.

Speakers

• A.Paul Williams - https://youtu.be/UQakfoHS_Sc
• Saäd Rafi - https://youtu.be/vPU2RzyQbEY
• Walter Wodchis - https://youtu.be/wZ_oX8wWr8Q
• Grace Li - https://youtu.be/EMAVPMe3qlY
• Isabelle Vedel - https://youtu.be/IHDEsFCBp4Y
• Steve Counsell - https://youtu.be/c8FR66W8mCQ
• Don Ford & Mark Hundert Peng - https://youtu.be/5ky0KiBqqvY

Details

On Tuesday, December 6th, the Health System Performance Research Network (HSPRN) and the Canadian Research Network for Care in the Community (CRNCC) co-hosted an exciting symposium to showcase and discuss models of integrated care that have been successful in communities and to elicit thought about its context to Ontario.

Click here to view the Agenda

Background

Decision-makers in Ontario and across the industrialized world now face the dual challenges of sustaining already stretched health care systems, while meeting the needs of aging populations with multiple chronic needs. The international evidence suggests that integrating care for older persons with complex needs can enhance well-being and independence while achieving more appropriate and cost-effective care. However, this evidence also emphasizes that there are design fundamentals which increase the likelihood of success. What are these fundamentals? How can they inform health policy strategies in Ontario?

Presentations
To download speaker presentations please click on the respective title:

· A. Paul Williams, PhD, Symposium Chair

· Saäd Rafi, MA, Ministry of Health and Long-Term Care Ontario Deputy Minister

· Walter Wodchis, PhD ,HSPRN
Setting the Stage: Complex Older Adult Populations

· Grace Li, MHA ,On Lok Lifeways in San Francisco
Program of All-inclusive Care for the Elderly (PACE): A Community Based Approach to Integrating Care for Older Persons with Complex Needs

· Isabelle Vedel, MD, PhD, SOLIDAGE, the McGill University,
Integrated Models of Care for Older Persons: from SIPA (Quebec) to COPA (France)

· Steve Counsell, MD , Indiana University Center for Aging
GRACE Team Care: Integrating Medical and Social Care for Vulnerable Seniors

Health care policy thought leaders, to comment on implementation challenges in Ontario and possibilities to enable adoption of these models in the province.

· Don Ford, Chief Executive Officer of the Central East Community Care Access Centre

· Mark Hundert Peng , National Director of Hay Group Health Care Consulting

Location
St. Andrews Club & Conference Centre
16th Floor, 150 King St W @ University
Toronto, ON

Details

The day consisted of speakers and participants engaging in open-ended discussion to address a range of important questions. In sessions 1 and 2 we learned about opportunities for collaborative action-focused research at provincial, national and international levels. In session 3 you were involved in a process for setting innovation and evaluation priorities in Europe and Ontario.

Background & Goals

There is a need to better understand how to identify complex-needs populations, the pathways they take in different systems and the impact these have on costs and quality of care. The development of measures to assess the performance of health and social care systems in these populations and of evidence on which system-level interventions are successful for whom and under what circumstances, are essential to effective and sustainable care delivery in all countries.

Despite the fact that different countries are facing similar epidemiology in terms of the characteristics and size of elderly populations with complex needs, the systems they have developed to provide health and social care to these populations are very different. This variation in care represents both a challenge and an opportunity.

By bringing thought leaders both researchers and policy makers - from different countries together it will be possible to share ideas about how to better understand, assess and provide health and social care for elderly people with complex needs. This would help develop both the evidence and the capacity to build the links across countries and between the research and policy making communities that will help health and social care systems to provide the best care possible.

Speakers

• Dr. Geoff Anderson - https://youtu.be/p2X6mYPHvo0
• Andres Cabrera - https://youtu.be/V8S2_T_VKlU
• Dr. Geraint Lewis - https://youtu.be/SjmO2uFhNMQ
• Dr. Niels Hermann - https://youtu.be/KvDNELSBajY
• Dr. Irfan Dhalla - https://youtu.be/rla6h98-qhc
• Dr. Samir Sinha - https://youtu.be/_iZVnHQeIWQ
• Stacey Daub - https://youtu.be/kQ__j_CvZhI
• Dr. Walter Wodchis - https://youtu.be/R8s9Fl7fQyc
• Jeremy Veillard - https://youtu.be/1huOOx6Ya0k

Details

The symposium features academic and practice leaders from Canada and internationally. It reviews the state of the art in integrating care for older persons with multiple, chronic needs; it showcases key design dimensions of high performing integration models nationally and internationally; and it considers transferable lessons for Ontario.

The Health System Performance Research Network (HSPRN) and the Canadian Research Network for Care in the Community (CRNCC) co-hosted an exciting symposium to showcase and discuss models of integrated care that have been successful in communities and to elicit thought about its context to Ontario.

Background

Decision-makers in Ontario and across the industrialized world now face the dual challenges of sustaining already stretched health care systems, while meeting the needs of aging populations with multiple chronic needs. The international evidence suggests that integrating care for older persons with complex needs can enhance well-being and independence while achieving more appropriate and cost-effective care. However, this evidence also emphasizes that there are design fundamentals which increase the likelihood of success. What are these fundamentals? How can they inform health policy strategies in Ontario?

Resources

• Agenda
• Slides: Promoting a Global Response to Multiple Chronic Diseases in the Age of Social Media: the OPIMEC Experience. Andres Cabrera
• Slides: Predictive Modelling in the UK: Past, Present and Future. Dr. Geraint Lewis
• Slides: Danish Experience on Developing and Implementing Integrated Cancer Pathways. Dr. Niels Hermann
• Slides: The Toronto Virtual Ward - Collaborating to Reduce Readmissions. Dr.Irfan Dhalla.
• Slides: Why New Thinking is Needed for Older Patients and How Demographic Imperatives will Force the Redesign of Acute Care Service Delivery. Dr. Samir Sinha.
• Slides: The Path From Good to Great: Integrating the Silos of Care for Seniors with Complex Needs and Their Families. Stacey Daub.
• Slides: Older Adults with Complex Medical Conditions in Ontario. Dr. Walter Wodchis.
• Slides: Opportunities for International Comparison of Health System Performance and Research Collaboration. Jeremy Veillard.
• Slides: Understanding Care Needs for the Elderly with Complex Needs: An International Challenge. Dr. Geoff Anderson.

Speakers

• Francois Champagne
• Niek Klazinga
• Jeremy Veillard
• Walter Wodchis
• Sara Allin
• Anna Kone

Details

A one-day knowledge exchange opportunity:

Presentations and discussion will address the value and linkages from the international to the local level and how local systems can use system performance measurement to drive efforts to improve performance.

Resources

• Agenda
• Slides: A Comprehensive and Integrated Framework for Performance Assessment: The EGIPSS Model. Francois Champagne.
• Slides: OECD's Health Care Quality Indicator Project: Methodological and Policy Challenges. Niek Klazinga
• Slides: WHO Country Health System Performance Assessments in the Context of Changing Health Needs. Jeremy Veillard
• Slides: Linking Interventions for Improvement with Health System Performance Measurement. Walter Wodchis
• Slides: A Common Framework for Health System Performance. Sara Allin.
• Slides: Factorial Validation of a Balanced-scorecard Framework for Measuring Health System Performance. Anna Kone

Speakers

• Sheree Davis
• Judith Belle Brown
• Sandra Coleman
• Stewart Harris
• Tom McHugh.
• Jonathan Sussman
• Walter Wodchis
• Lyn Sibley
• Karen Born
• Josephine McMurray

Details

A one-day knowledge exchange opportunity, in partnership with the South West Local Health Integration Network

Presentations and discussion will focus on current and future provider-policy and researcher collaborations on transitions of care and performance measurement for targeted populations from a system level perspective.

Resources

· Agenda

· Slides: Improving Value in Transitions of Care. Sheree Davis

· Slides: Measuring Patient-Centred Care: A Primary Health Care Perspective. Judith Belle Brown.

· Slides: Tillsonburg Transitional Programs. Sandra Coleman.

· Slides: Evaluation of the Partnerships for Health: A chronic disease prevention and management demonstration project in Southwestern Ontario. Stewart Harris.

· Slides: Tillsonburg Transitional Programs. Tom McHugh.

· Slides: Family Physician Integration with the Cancer System in LHIN 4. Jonathan Sussman.

· Slides: Understanding and Identifying Target Populations for Integrated Care. Walter Wodchis

· Slides: Improving System Performance: Primary Care Physicians Groups in Ontario. Lyn Sibley.

· Slides: Understanding Interventions to Improve Transition of Care. Karen Born.

· Slides: Measuring Health System Integration Through Regional Electronic Information Exchange: Making the Invisible Visible. Josephine McMurray.